| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $77.62 | $77.62 | |
BCBS
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Cigna
| Facility | $77.62 | $117.49 | $186.21 | |
United
| Facility | $891.25 | $1,348.96 | $7,079.46 |
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $77.62 | $77.62 | |
BCBS
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Cigna
| Facility | $77.62 | $117.49 | $186.21 | |
United
| Facility | $891.25 | $1,348.96 | $7,079.46 |
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